NPI | 1124182977 |
---|---|
Doing Business As | WESLEY HEALTH CENTER (LYNWOOD) |
Entity Type | Organization |
Authorized Contact | ALVARO P. BALLESTEROS Chief Executive Officer 323-201-4516 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000791) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251X00000X | |
261QC1500X Clinic/Center, Community Health (Licence: CA 960000791) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2022-02-01 |